Individual
MRS. JEANINE KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4605 MONTICELLO RD, COLUMBIA, SC 29203-4156
(803) 252-7001
(803) 252-5219
Mailing address
4605 MONTICELLO RD, COLUMBIA, SC 29203-4156
(803) 252-7001
(803) 252-5219
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1215
SC
Other
Enumeration date
07/21/2006
Last updated
03/01/2011
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